摘要
AIM: To investigate the value of transabdominal ulbasonography (US) in the preoperative staging of gastric cancer.METHODS: A total of 198 patients with gastric cancer underwent preoperatively transabdominal US, depth of tumor infiltration was assessed in 125 patients, and lymph node metastasis was assessed in 106 patients,RESULTS: The staging accuracy of transabdominal US was 55.6%, 75.0%, 87.3% and 71.1% in T1, T2, T3 and T4 carcinomas, respectively. The overall accuracy was 77.6%.The detection rate for pancreatic invasion and liver invasion was 77.4%, 71.4%, respectively. The sensitivity, specificity,accuracy of transabdominal US in assessment of lymph node metastasis were 77.6%, 64.1%, 72.6%, respectively.Various shapes such as round, ovoid, spindle were encountered in benign and malignant lymph nodes. Majority of boa benign and malignant lymph nodes were hyperechoic and had a distinct border. Benign lymph nodes were smaller than malignant lymph nodes in length and width (P = 0.000,0.005). Irregular shape, fusional shape, infiltrative signs,inhomogenous echo were seen mainly in malignant lymph nodes (P = 0.045, 0.006, 0.027, 0.006).CONCLUSION: Transabdominal US is useful for preoperative staging in gastric cancer, although it is difficult to differentiate benign from malignant lymph nodes.
AIM:To investigate the value of transabdominal ultrasonography (US)in the preoperative staging of gastric cancer. METHODS:A total of 198 patients with gastric cancer underwent preoperatively transabdominal US,depth of tumor infiltration was assessed in 125 patients,and lymph node metastasis was assessed in 106 patients. RESULTS:The staging accuracy of transabdominal US was 55.6%,75.0%,87.3% and 71.1% in T1,T2,T3 and T4 carcinomas,respectively.The overall accuracy was 77.6%. The detection rate for pancreatic invasion and liver invasion was 77.4%,71.4%,respectively.The sensitivity,specificity, accuracy of transabdominal US in assessment of lymph node metastasis were 77.6%,64.1%,72.6%,respectively. Various shapes such as round,ovoid,spindle were encountered in benign and malignant lymph nodes.Majority of both benign and malignant lymph nodes were hyperechoic and had a distinct border.Benign lymph nodes were smaller than malignant lymph nodes in length and width(P=0.000, 0.005).Irregular shape,fusional shape,infiltrative signs, inhomogenous echo were seen mainly in malignant lymph nodes(P=0.045,0.006,0.027,0.006). CONCLUSION:Transabdominal US is useful for preoperative staging in gastric cancer,although it is difficult to differentiate benign from malignant lymph nodes.
基金
Supported by theHospital Medicine Development Foundation,No.ZD 199909
